32C-095 •
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his/her construction supervisor. The stale defines "Homeowner" as, " Person(s)
who owns a parcel on which he/she resides or intends to be, a one or two family
dwelling, attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two -year period shall not be considered a
home owner."
The building department for the City of Northampton wants person(s) who seek to use
the home owner exemption, to act as their own construction supervisor, to be aware that
by doing so you become responsible for compliance with state building codes and
regulations. The inspection process requires that the building department be called to
inspect work at various stages, which include foundation /footings (before backfill)
sonotube holes (before pour), a rough building inspection (before work is
concealed), insulation inspection (if required) and a final building inspection. The
building department requires these inspections before the work is concealed, failure to
secure these inspections can result in failure to obtain a certificate of occupancy
until the work can be inspected.
If the homeowner hires other trades to perform work (electrical, plumbing & gas) the
homeowner will be responsible to make sure that the trades hired secure their proper
iermits in conjunction to the building permit issued, and that they get their required
inspections. Failure of the individual trades to secure the permits and inspections as
required can DELAY the project until such time as the proper permits and inspections are
made
I, understand the above.
(Home owner /resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Date
Address of work
location
7
... .,
. '
. The Commonwealth of Massachusetts
=1,--=..--,---- Department of Industrial Accidents •
Office of Investigations •
mu .....tt i
600 Washington Street
Boston, MA 02111
. - . www.mass.govidia ' ....
-Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): ) e i l tin bovAci'li
• Address: cl 0 Octi< ..S4
. - .
City/State/Zip: CI ■.,€ tx c "4. 010 bta Phon.e.#: 91 3 SZP.C
Are you an employer? Check the appropriate box: Type Of project (required): l
1.0 I am a employer with 4. D I am a general contractor and I
0
employees (full and/or part-time).* have hired the sub-contractors 6. New construction
listed on the attached sheet. 7• 0 Remodeling
2. lA am a sole proprietor or parto.er-
ship and have no c..).loyees These sub-contractors have . 8. D Demolition
employeesand have workers' • . -
working for me in a:ay capacity. 9. 0 Building addition
-
[No workers' comp-. insurance _ camp. insurance.f__ _ __ _ _ _ _ _
10.L j Electrical repairs or additions
required.] • .- 5. 0 We are a corporation and its
•
3. 0 I am a homeowner doing all work officers have xercised their
.1 11.E1 Plumbing repairs or additions
myself [No workers' conip. lien Of exemption per MGL
12.0 Roof repairs
insurance required.] t • c. 152, §1(4), and we have no
employees. [No workers' 13.E1 Other
comp. insurance required.1 • •
*Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information.
1. Homeownera who submit this afradaVit indicating they are doing ail work arid then hire outside contactors must submit a new affidavit indicting such.
:Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. In.& sub-contractors have employees, they must provide their workers comp policy number.
l am an employer that is providing workers' compensation insurance for my employee & Below is. the policy and job site
information. . • .
Insurance Company Nante: . - , • .
Policy # or Self-ins. Lic. #: Expiration Date:
. . .
Job Site Address: City/Stafe/Zip:* • ' - ..
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required - under Section 25A OfMGL c 152 can lead to the iii giOsitibri of r Penalties of a
fine up to 81,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP wow( ORDER. and a fine
of up to $250.00 a day against the violator Be advised that a copy of dais statement may be forwarded to the Office of
Infeitizations Of the DIA for nismarice Cove Verification.
fdo her eb _37 c ertifil n - - ; , ; .- - A e nalties of p erj myth at the information prOvided ".. isiru co rrect.____.
. .
Si. A - tire: ----- , , at: /-,- 9 I/ o
• • ,....0.- -
Phone :. "" / S — 5 ti - • •
Official use only. Do not write in this area, to be completed by city Ur tow n officiaL
City or Town:
• Permit/License #
Issuing Authority (circle one):
.1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: '
Phone #: • -
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : JC 55 Inerriticole 0 0
License Number
Address Expiration Date
3 S t °s chi Pa
S' •ifeq - Telephone
S.: ReaisteredrHciirie :lmt�tovetneirit Contractor d , % kf ,. .„: ,„, . a Z . . ,., ,w.. .._ .., Not Applicable ❑
/34
Company Name Registration Number
, Nc3^}y c mc - 1 RV/
Address Expiration Date
Cie St r(,Tr etc a Telephone cd C �( �t
—
SECTION 10-WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes ❑ No ❑
t i Owner. EX en 1110
The current exemption for "homeowners" was extended to include Owner occupied Dwellings of one (1) or two(2) families
and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts
as supervisor. CMR 780, Sixth Edition Section 108.3.5.1.
Definition of Homeowner: Person (s) who own a parcel of land on which he /she resides or intends to reside, on which there
is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm
structures. A person who constructs more than one home in a two - year period shall not be considered a homeowner.
Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he /she shall be
responsible for all such work performed under the building permit.
As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon
completion of the work for which this permit is issued.
Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to
Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s)
you hire to perform work for you under this permit.
The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of
Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
•
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ED Or Doors J�
Accessory Bldg. ❑ Demolition ❑ New Signs [11] Decks [E] Siding [1::1] Other [0]
Brief Desnipti9n of Proposed H,
Work: K 1Q.Lt St�1�iit (y ( ke. ••Jt f�uvlct l akr.c � �Svlt.'4(e, .slns�yL►j
I 1 1 r D
Alteration of existing bedroom Yes `""No Adding new bedroom Yes V
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll - Sheet
sa :IfNcw.liol€ se an or:adc iti�fl:10 l xtst na Et U&fl'_ :ampt te fo[iar np:
a. Use of building : One Family Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes Nc
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes No .
I. Septic Tank City Sewer Private well City water Supply
SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, �� 4 , as Owner of the subject
pr6:e y
hereby authorize JC 55f !o 1oi e
to act on my behalf, in all matters relative to workliuthorized this building permit application.
� . //0
Signature of Owner ate
I, .140r 1 . l -4c kr ,)=55 �`] , as Owner /Authorized
Agent hereby declare that the statements and information t he forgoing application are true and accurate, to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
�-� J eSS c ? C`'
Print • me J .�
J
S • nature of Owned' gent D e
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size J t ._... ='
Frontage i _ _,
4
Setbacks Front i 1
Side ..� R:! L: R; f
Rear
i
Building Height r fi 1
3 r 4
t " '".
Bldg. Square Footage 1 3
Open Space Footage %
(Lot area minus bldg & paved L „_ ! . _
parking)
# of Parking Spaces __. -
Fill: ,
,
(volume & Location)
A. Has a Special Permit /Variance /Finding ver been issued for /on the site?
NO 0 DONT KNOW YES 0
IF YES, date issued:,
•
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Book l I Page ? and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO G DONT KNOW Q YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained , Date Issued
C. Do any signs exist on the property? YES 0 NO
IF YES, describe size, type and location: 3
D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO e v
....
IF YES, describe size, type and location:
E. Will the construction activity disturb (clearing, grading, ex ion, or filling) over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES 0 NO
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
City of Northampton . .. -i
Building Department ,
DEC 2 $ �0 �0 212 Main Street 1
Room 100 • . �: _.
F Northampton, MA 01060 ; ti ffi lg a -3 - -
phone 413- 587 -1240 Fax 413- 587 -1272 m.. " t'
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1- SITE INFORMATION
1.1 Property Address:
This section to be completed by office
'� C cvV c' I Map Lot Unit
fj uA ,-,r\- it'll Zone " Overlay District
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
\l-,c✓ k Q . VA t S-VW. c ) ? (C'- Z 4-
Name (Pri ) Current Mailing Addre s
Telephone
Signa re
2.2 Authorized Agent:
Name (Print) Current Mailing Address:
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building q Ce D (a) Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) k j . CO Check Number
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature:
/' - /
Building Commissioner /Inspector of Buildings Date
•
BP- 2011 -0594
GIS #: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit# BP- 2011 -0594
Project # JS- 2011- 000958
Est. Cost: $3000.00
Fee: $35.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: JESSE MONTGOMERY 077410
Lot Size(sq. ft.): 15855.84 Owner: HESTON KARL ROBERT
Zoning: URC(100)/ Applicant: JESSE MONTGOMERY
AT: 22 CONZ ST
Applicant Address: Phone: Insurance:
P 0 BOX 329 (413) 585 - 8482
LEEDSMA01053 ISSUED ON:12/29/2010 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL REPLACEMENT WINDOWS /DOOR
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: Rough: House # Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace /Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 12/29/2010 0:00:00 $35.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner